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==Overview==
==Overview==
[[Duplex ultrasonography]] is a first line non-invasive imaging technique for the diagnosis of atherosclerotic renal artery stenosis.


==Ultrasound==
==Duplex Ultrasonography==
Diagnosis by Duplex ultrasonography is considered class I recommendation. It may be used as an initial screening tool for diagnosis of atherosclerotic renal artery stenosis. [[Ultrasonography]] might not be very accurate in obese patients or those intestinal gas.<ref name="pmid23457117">{{cite journal| author=Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH et al.| title=Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2013 | volume= 127 | issue= 13 | pages= 1425-43 | pmid=23457117 | doi=10.1161/CIR.0b013e31828b82aa | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23457117  }} </ref>


[http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
[http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
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</gallery>
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===Doppler USG===
===Doppler Ultrasonography===


[http://www.peir.net Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
[http://www.peir.net Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
====Case #1====
<gallery perRow="3">
Image:Renal artery stenosis 001.jpg|Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.
Image:Renal artery stenosis 002.jpg|Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.
Image:Renal artery stenosis 003.jpg|Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.
Image:Renal artery stenosis 004.jpg|Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.
</gallery>
====Case #2====
<gallery perRow="3">
Image:Renal artery stenosis 007.jpg|[[Abdominal pain]] in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT
Image:Renal artery stenosis 008.jpg|[[Abdominal pain]] in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT
Image:Renal artery stenosis 009.jpg|[[Abdominal pain]] in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT
Image:Renal artery stenosis 010.jpg|[[Abdominal pain]] in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT
</gallery>


==References==
==References==
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[[Category:Kidney diseases]]
[[Category:Kidney diseases]]
[[Category:Nephrology]]
[[Category:Nephrology]]
[[Catergory:Cardiology]]
[[Category:Cardiology]]


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Latest revision as of 01:28, 15 May 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Duplex ultrasonography is a first line non-invasive imaging technique for the diagnosis of atherosclerotic renal artery stenosis.

Duplex Ultrasonography

Diagnosis by Duplex ultrasonography is considered class I recommendation. It may be used as an initial screening tool for diagnosis of atherosclerotic renal artery stenosis. Ultrasonography might not be very accurate in obese patients or those intestinal gas.[1]

Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

  • Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT.

    Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT.

  • Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

    Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

Doppler Ultrasonography

Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

Case #1

  • Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.

    Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.

  • Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.

    Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.

  • Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.

    Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.

  • Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.

    Renal artery stenosis. The patient is a 75 year old white female with a history of hypertension. she is s/p left nephrectomy approximately 10 years ago for renal cell carcinoma. 1. Definite renal artery stenosis involving the origin of the right renal artery. 2. Focal dilatation of the distal abdominal aorta, but no frank aneurysm.

Case #2

  • Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

    Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

  • Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

    Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

  • Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

    Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

  • Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

    Abdominal pain in a patient with previous renal transplant. 1) Juxtanephric mass surrounding renal vessels, differential includes adenopathy, hematoma and abscess. 2) Renal artery stenosis of CRT

References

  1. ↑ Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH; et al. (2013). "Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. 127 (13): 1425–43. doi:10.1161/CIR.0b013e31828b82aa. PMID 23457117.

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